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Showing results for "improves".

9401. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45930/psn-pdf
      April 26, 2017 - A boy's life is lost to sepsis. Thousands are saved in his wake. April 26, 2017 Dwyer J. New York Times. April 13, 2017. https://psnet.ahrq.gov/issue/boys-life-lost-sepsis-thousands-are-saved-his-wake Stories of patient harm due to medical mistakes can serve as catalysts for organizational improvement. This newsp…

9402. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50825/psn-pdf
      January 22, 2020 - Investigation into Detection of Retained Vaginal Swabs and Tampons Following Childbirth. January 22, 2020 Farnborough, UK; Healthcare Safety Investigation Branch; December 18, 2019. https://psnet.ahrq.gov/issue/investigation-detection-retained-vaginal-swabs-and-tampons-following- childbirth Maternal care during a…

9403. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50758/psn-pdf
      December 18, 2019 - Still Not Safe: Patient Safety and the Middle-Managing of American Medicine. December 18, 2019 Wears R, Sutcliffe K. New York, NY: Oxford University Press; 2019. ISBN: 9780190271268. https://psnet.ahrq.gov/issue/still-not-safe-patient-safety-and-middle-managing-american-medicine The modern patient safety movement …

9404. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45303/psn-pdf
      June 15, 2017 - The global burden of diagnostic errors in primary care. June 15, 2017 Singh H, Schiff G, Graber ML, et al. The global burden of diagnostic errors in primary care. BMJ Qual Saf. 2017;26(6):484-494. doi:10.1136/bmjqs-2016-005401. https://psnet.ahrq.gov/issue/global-burden-diagnostic-errors-primary-care The need to i…

9405. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47647/psn-pdf
      January 23, 2019 - Patient Safety: Global Action on Patient Safety. January 23, 2019 Executive Board EB144/29 144th session. Geneva, Switzerland: World Health Organization; December 12, 2018. https://psnet.ahrq.gov/issue/patient-safety-global-action-patient-safety This guidance summarizes the current status of global patient safety,…

9406. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43106/psn-pdf
      September 27, 2016 - The sterile cockpit: an effective approach to reducing medication errors? September 27, 2016 Federwisch M, Ramos H, Adams S' C. The sterile cockpit: an effective approach to reducing medication errors? Am J Nurs. 2014;114(2):47-55. doi:10.1097/01.NAJ.0000443777.80999.5c. https://psnet.ahrq.gov/issue/sterile-cockpi…

9407. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43269/psn-pdf
      July 28, 2014 - Restoring trust in VA health care. July 28, 2014 Kizer KW, Jha AK. Restoring trust in VA health care. N Engl J Med. 2014;371(4):295-297. doi:10.1056/NEJMp1406852. https://psnet.ahrq.gov/issue/restoring-trust-va-health-care In response to a recent investigation raising concerns about inaccurate reporting of wait-ti…

9408. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47387/psn-pdf
      September 12, 2018 - Guideline implementation: team communication. September 12, 2018 Link T. Guideline Implementation: Team Communication: 1.8 www.aornjournal.org/content/cme. AORN J. 2018;108(2):165-177. doi:10.1002/aorn.12300. https://psnet.ahrq.gov/issue/guideline-implementation-team-communication Although team development has rec…

9409. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46698/psn-pdf
      February 07, 2018 - Enhancing the quality and safety of the perioperative patient. February 7, 2018 Staender S, Smith A. Enhancing the quality and safety of the perioperative patient. Curr Opin Anaesthesiol. 2017;30(6):730-735. doi:10.1097/ACO.0000000000000517. https://psnet.ahrq.gov/issue/enhancing-quality-and-safety-perioperative-p…

9410. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44910/psn-pdf
      March 09, 2016 - Systematically Identified Failure Is the Route to a Successful Health System. March 9, 2016 Tepper J, Martin D, eds. Healthc Pap. 2015;15(2):4-61. https://psnet.ahrq.gov/issue/systematically-identified-failure-route-successful-health-system Identifying and addressing organizational factors that enable individual m…

9411. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47512/psn-pdf
      February 20, 2019 - Framing the challenges of artificial intelligence in medicine. February 20, 2019 Yu K-H, Kohane IS. Framing the challenges of artificial intelligence in medicine. BMJ Qual Saf. 2019;28(3):238-241. doi:10.1136/bmjqs-2018-008551. https://psnet.ahrq.gov/issue/framing-challenges-artificial-intelligence-medicine Use o…

9412. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46333/psn-pdf
      June 25, 2018 - High reliability leadership: a conceptual framework. June 25, 2018 Martínez-Córcoles M. High reliability leadership: A conceptual framework. J Contingencies Crisis Manage. 2017;26(2):237-246. doi:10.1111/1468-5973.12187. https://psnet.ahrq.gov/issue/high-reliability-leadership-conceptual-framework Leadership engag…

9413. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42880/psn-pdf
      January 22, 2014 - Applying ethnography to the study of context in healthcare quality and safety. January 22, 2014 Leslie M, Paradis E, Gropper MA, et al. Applying ethnography to the study of context in healthcare quality and safety. BMJ Qual Saf. 2014;23(2):99-105. doi:10.1136/bmjqs-2013-002335. https://psnet.ahrq.gov/issue/applyin…

9414. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838638/psn-pdf
      September 01, 2012 - Directed peer review in surgical pathology. September 1, 2012 Smith ML, Raab SS. Directed peer review in surgical pathology. Adv Anat Pathol. 2012;19(5):331-337. doi:10.1097/pap.0b013e31826661b7. https://psnet.ahrq.gov/issue/directed-peer-review-surgical-pathology Diagnostic error in pathology can result in delaye…

9415. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42355/psn-pdf
      February 11, 2015 - Advancing Successful Care Transitions to Improve Outcomes. February 11, 2015 Society of Hospital Medicine https://psnet.ahrq.gov/issue/project-boost-mentored-implementation-program This Web site provides resources associated with the Better Outcomes for Older adults through Safe Transitions project, called Projec…

9416. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46301/psn-pdf
      October 11, 2017 - Care transitions know-how not just for clinicians. October 11, 2017 Ready T. HealthLeaders Media. September 26, 2017. https://psnet.ahrq.gov/issue/care-transitions-know-how-not-just-clinicians Transitions are an error-prone process. This news article reports that organizational leadership should be engaged in enha…

9417. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43574/psn-pdf
      October 08, 2014 - The mixed blessings of smart infusion devices and health care IT. October 8, 2014 Nemeth CP, Brown J, Crandall B, et al. The mixed blessings of smart infusion devices and health care IT. Mil Med. 2014;179(8 Suppl):4-10. doi:10.7205/MILMED-D-13-00505. https://psnet.ahrq.gov/issue/mixed-blessings-smart-infusion-devi…

9418. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47412/psn-pdf
      October 31, 2018 - The systems approach at the sharp end. October 31, 2018 Cross SRH. The systems approach at the sharp end. Future Healthc J. 2019;5(3):176-180. doi:10.7861/futurehosp.5-3-176. https://psnet.ahrq.gov/issue/systems-approach-sharp-end Systems solutions are often focused on creating improvements at the organizational o…

9419. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/845075/psn-pdf
      February 22, 2023 - Artificial intelligence, patient safety, and achieving the quintuple aim in anesthesiology. February 22, 2023 Tan JM, Cannesson MP. APSF Newsletter. 2023;38(2):1,3–4,7. https://psnet.ahrq.gov/issue/artificial-intelligence-patient-safety-and-achieving-quintuple-aim-anesthesiology Technological advancement…

9420. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45936/psn-pdf
      March 08, 2017 - Using information from external errors to signal a "clear and present danger." March 8, 2017 ISMP Medication Safety Alert! Acute care edition. February 9, 2017;22:1-5. https://psnet.ahrq.gov/issue/using-information-external-errors-signal-clear-and-present-danger Monitoring external reports of error and harm can pr…